認識和預防肝癌 | 肝癌 | B型肝炎 | 乙型肝炎 | 黃麴毒素 | 慈濟醫療 | 慈濟健康講座​

慈濟醫療健康講座特別邀請俞小安醫學博士(Andy S. Yu, MD.) 來分享對肝癌的認識，已提高人們對肝炎的重視及預防的方法。此演講由慈濟基金會北加州分會社區健康講座提供。

肝臟是人體內第二大器官，負責人體內的多項功能。本次演講摘要有:

00:40 肝臟的重要性；能者多勞的器官 (肝的角色與功能)
03:36 肝炎的徵兆:沉默寡言的器官 (初期到中期；後期到末期-肝衰竭)
06:28 肝癌的成因(乙型肝炎、肝臟硬化、黃麴毒素(aflatoxin B1)、肝臟腺瘤(adenoma)
10:47 B型肝炎造成的全球負擔
12:29 乙肝與肝癌的流行
14:12 慢性病毒肝炎為肝癌的主要成因
16:37 正常肝臟與肝硬化的對比
18:03 慢性乙肝如何影響肝臟?
18:42 肝炎的病因: 較普遍為病毒、毒藥、脂肪肝病
23:25 肝炎的病因: 較罕見為免疫性、血色素沉著症(鐵)、威爾遜綜合症(銅)、抗胰蛋白酶缺乏症
26:52 急性肝炎與慢性肝炎
28:47 慢性肝炎末期的病癥: 衰竭與癌症
29:33 亞美種族與乙型肝炎
30:35 乙型肝炎是美亞裔種族的無聲殺手 (HBV is the Silent Killer Among Asians)
30:42 乙型肝炎疾病的發展
34:09 慢性乙肝的嚴重決定五年存活
36:01 全民疫苗、提早預防
39:05 血液檢查 (ALT, HBsAg, anti-HBc, anti-HBs, anti-HCV, platelet)
45:44 解讀乙型肝炎血清指標 (Interpretation of HBV Serologies)
47:48 乙型肝炎是永不離開的
48:49 三個醫學組織準則對乙型肝炎篩檢的共識 (USPSTF, CDC, AASLD)
51:26 究竟我需要乙型肝炎篩檢嗎? 是
51:37 乙型肝炎治療
58:00 藥物治療防止肝衰竭及肝癌
58:22 肝癌高度風險；半年篩檢一次(甲胎蛋白、超音波)
59:20 超音波下的肝癌影像(Liver Cancer on Ultrasound)
59:32 篩檢肝癌的對象(Candidates for Liver Cancer Screening): 乙型病毒帶原者、肝硬化
1:02:39 GALAD:更進的肝癌指標計算(Gender, Age, L3, AFP, DCP)
1:03:38 付不起篩檢費用? How Can I Afford Screening?
1:04:45 治療策略決定與肝癌病情
1:09:36 巴塞隆納診所肝癌分期與治療策略: 預測與治療 (Barcelona Clinic Liver Cancer (BCLC) Staging and Treatment Strategy)
1:11:52 開刀手術: 最早期的治癒希望
1:13:29 局部融化過程
1:14:02 局部融化: 早期病人的另類選擇(電波融化、透皮酒精注射)
1:15:25 局部區域治療；中期肝癌之選
1:17:59 惡性肝腫瘤與兩性血管瘤
1:13:29 後期與末期肝癌治療
1:20:54 肝癌期限與平均生存時間
1:21:24 預防勝於治療: 專業的醫藥措施與個人的保健習慣
1:25:18 與菸草有關的癌病
1:25:57 生蠔的幫兇-創傷弧菌 (vibrio vulnificus)
1:26:53 乙性病毒肝炎的兩大傳染途徑: 血液、性接觸
1:28:24 乙型肝炎病毒的濃度

以上是俞小安醫學博士臨床多年常見的肝癌問題和建議，有好的生活方式，才能有更健康、更優質的生活。請把今天聽到的肝炎預防，帶給您的親朋好友。

謝謝收看!

#肝癌 #B型肝炎 #乙型肝炎 #黃麴毒素

Serving local communities since 1993, Buddhist Tzu Chi Medical Foundation has three (3) Tzu Chi Health Centers that are Federally Qualified Health Center (FQHC) Look-Alike medical facilities conveniently located throughout Southern California. For family medicine, dental care, pediatric dental care, and acupuncture, please visit our medical clinics in the following locations:

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